Evidence map›Paper›PMID 30472267›Full record

ArticleClinical immunology (Orlando, Fla.)2019

Taming hemodialysis-induced inflammation: Are complement C3 inhibitors a viable option?

Dimitrios C Mastellos, Edimara S Reis, Ali-Reza Biglarnia, Meryl Waldman, Richard J Quigg, Markus Huber-Lang, Marc A Seelen, Mohamed R Daha, John D Lambris

Abstract read
In one paragraph

Article in Clinical immunology (Orlando, Fla.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Current status of COVID-19 among hemodialysis patients in the East Azerbaijan Province of Iran.Hemodialysis international. International Symposium on Home Hemodialysis · 2021
    Article
  4. Inflammatory stress in SARS-COV-2 associated Acute Kidney Injury.International journal of biological sciences · 2021
    Review
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dimitrios C MastellosDivision of Biodiagnostic Sciences and Technologies, National Center for Scientific Research 'Demokritos', Athens, Greece.
Edimara S ReisDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, USA.
Ali-Reza BiglarniaDepartment of Transplantation, Skåne University Hospital, Malmö, Lund University, Lund, Sweden.
Meryl WaldmanKidney Disease Section, Kidney Diseases Branch, NIH, Bethesda, USA.
Richard J QuiggDivision of Nephrology, Department of Medicine, Jacobs School of Medicine & Biomedical Sciences, University at Buffalo, USA.
Markus Huber-LangInstitute for Clinical and Experimental Trauma-Immunology, University Hospital of Ulm, Ulm, Germany.
Marc A SeelenDivision of Nephrology, Department of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Mohamed R DahaDepartment of Nephrology, Leiden University Medical Centre, Leiden, Netherlands.
John D LambrisDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, USA. Electronic address: lambris@pennmedicine.upenn.edu.

Funding

Role of complement in kidney disorders: from hemodialysis to transportationP01AI068730 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2007 to 2018
$16.0M
STRUCTURE-FUNCTION ANALYSIS OF DIFFERENT C3 SPECIESR01AI030040 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 1993 to 2016
$4.1M
VIRAL RESPIRATORY PATHOGENS RESEARCH UNIT /VRPRU/-266030040-266030040N01AI030040 · NIAID · UNIVERSITY OF IOWA · PI APICELLA, MICHAEL A. · 2003 to 2006
–
NIAID NIH HHS N01 AI030040NIAID NIH HHS P01 AI068730NIAID NIH HHS R01 AI030040
6 · The paper itself

Abstract

Owing to an increasing shortage of donor organs, the majority of patients with end-stage kidney disease remains reliant on extracorporeal hemodialysis (HD) in order to counter the lifelong complications of a failing kidney. While HD remains a life-saving option for these patients, mounting evidence suggests that it also fuels a vicious cycle of thromboinflammation that can increase the risk of cardiovascular disease. During HD, blood-borne innate immune systems become inappropriately activated on the biomaterial surface, instigating proinflammatory reactions that can alter endothelial and vascular homeostasis. Complement activation, early during the HD process, has been shown to fuel a multitude of detrimental thromboinflammatory reactions that collectively contribute to patient morbidity. Here we discuss emerging aspects of complement's involvement in HD-induced inflammation and put forth the concept that targeted intervention at the level of C3 might constitute a promising therapeutic approach in HD patients.

Indexed as

Complement C3Complement Inactivating AgentsHumansInflammationRenal DialysisComplement C3Complement Inactivating AgentsAMY-101Complement C3CompstatinsCp40HemodialysisThromboinflammation

Identifiers

PMID30472267
PMCPMC7366512

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.